Heart & Hypertension Program

Each year Connecticut municipalities pay many hundreds of thousands of dollars for heart and hypertension (H&H) claims. Some claims are valid, others may not be; but they all should be managed carefully to control costs. CIRMA's Heart & Hypertension Claims Management program provides expert management services to its H&H members. Our claims experts identify the many expenses associated with these claims, then apply a rigorous claims validation and management process to reduce the costs of these claims.

• CIRMA validates all current and new Heart & Hypertension claims through an extensive review of each employee's complete medical history, confirming the date of the diagnosis and the employee's awareness of diagnosis.
  
  
• CIRMA verifies wages, reviews pension eligibility, and identifies possible benefit caps. CIRMA provides legal defense and representation at hearings.
  
  
• CIRMA provides supporting documentation, including verified condition and date of diagnosis, applicable benefit rate, spouse's name, and any benefits currently due.
  
  
• CIRMA performs all claims management functions: filing of all state forms, issuing of indemnity payments, reviewing and processing of medical bills through your group insurance carrier or through a CIRMA claims administrator, and calculating the appropriate loss reserves and annual budget amounts.
  
  
• CIRMA provides strategic advice and periodic reports to your management team on H&H claims.

To learn more about CIRMA's H&H program, please contact Bruce Clinger, Claims Program Manager.